Use of esophageal stent for the treatment of postoperative gastrointestinal–airway fistula after esophagectomy

Okamoto, Koichi; Ninomiya, Itasu; Fujiwara, Yuta; Mochizuki, Ichitaro; Aoki, Tatsuya; Yamaguchi, Takahisa; Terai, Shiro; Nakanuma, Shinichi; Koyama, Jun; Makino, Isamu; Nakamura, Keisuke; Miyashita, Tomoharu; Tajima, Hidehiro; Takamura, Hiroyuki; Fushida, Sachio; Ohta, Tetsuo

doi:10.1007/s10388-019-00673-0

Cited by 8 publications

(11 citation statements)

References 13 publications

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“…9 A longer duration of esophageal stent placement may increase the incidence of these adverse events. 3 van Boeckel et al reported that the median time for closure of an esophago-pulmonary fistula treated by esophageal stent placement was 25 days (range: 1-197 days). 9 However, determining the relationship between appropriate stent removal and fistula closure is difficult.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, surgical treatment is not suitable in patients with severe underlying diseases and poor general health status. Recently, a few studies have reported the use of minimally invasive procedures, such as esophageal stent placement [3][4][5] ; however, the success rate of this mode of treatment for esophago-pulmonary fistulae is ~40%-80%, 4,5 which is not acceptable. The incidence of adverse events associated with the long-term placement of esophageal stents has also been reported.…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of adverse events associated with the long-term placement of esophageal stents has also been reported. 3 Herein, we present a case in which we successfully closed a refractory esophago-pulmonary fistula by using a vascular embolization plug under endoscopy.…”

Section: Introductionmentioning

confidence: 99%

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Successful closure of refractory esophago‐pulmonary fistula after esophagectomy using a vascular embolization plug under endoscopy: A case report

Tsuji

Okamoto

Torii

et al. 2022

Asian J Endoscop Surgery

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Esophago‐pulmonary fistula after esophagectomy is a fatal complication of severe respiratory distress. Minimally invasive treatments, such as esophageal stent placement, have been developed to treat esophago‐pulmonary fistulae; however refractory fistulae may not be cured by this mode of treatment. We encountered a case in which the esophago‐pulmonary fistula did not close even though sealing of polyglycolic acid sheets and fibrin glue was administered three times over 4 mo while the esophageal stent was in place. We successfully closed this refractory esophago‐pulmonary fistula using a vascular embolization plug under endoscopy. Our procedure can thus be an effective and less invasive treatment for refractory esophago‐pulmonary fistula after esophagectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Successful closure of refractory esophago‐pulmonary fistula after esophagectomy using a vascular embolization plug under endoscopy: A case report

Tsuji

Okamoto

Torii

et al. 2022

Asian J Endoscop Surgery

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“…Fast-hardening amino acid solution [8] Fibrin glue [6,9] Self-expanding stent [5,10] Dual self-expandable stent [11] Placement of a cardial septal occluder [12] Titanium clips [13]…”

Section: Endoscopic Obliterationmentioning

confidence: 99%

“…The treatment strategy for gastrobronchial fistulas is determined by the location and size of the fistula and the patient's condition. Although conservative treatment and bronchoscopic or endoscopic closure can be effective for patients whose condition is stable, surgical interventions are often required for those in unstable conditions [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer

et al. 2021

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Background Gastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare case of leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer, which was successfully treated using an intercostal muscle flap and lung resection. Case presentation A 61-year-old male underwent subtotal esophagectomy with regional lymphadenectomy for esophageal cancer. The sutures along the staple line of the gastric tube failed 11 days after surgery, and a pulmonary abscess was also found on imaging. The abscess did not heal after conservative treatment; therefore, right lower lobectomy, gastrobronchial fistula resection, primary closure, and patching of the leaking portion of the gastric tube with an intercostal muscle flap were performed 9 months after the first operation. The patient’s postoperative course was uneventful, and he was discharged on the 354th day. Conclusions We experienced a case involving a gastrobronchial fistula caused by leakage from the staple line of a gastric tube and successfully treated it by performing right lower lobectomy and patching the leak with an intercostal muscle flap.

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Post-esophagectomy tracheobronchoesophageal fistula: management and results of a tertiary referral center

et al. 2022

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Use of esophageal stent for the treatment of postoperative gastrointestinal–airway fistula after esophagectomy

Cited by 8 publications

References 13 publications

Successful closure of refractory esophago‐pulmonary fistula after esophagectomy using a vascular embolization plug under endoscopy: A case report

Successful closure of refractory esophago‐pulmonary fistula after esophagectomy using a vascular embolization plug under endoscopy: A case report

A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer

Post-esophagectomy tracheobronchoesophageal fistula: management and results of a tertiary referral center

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